- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $34,673.69 / $53,703.18
| Facility | | $24,547.09 | $34,673.69 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $29,512.09 / $45,708.82
| Facility | | $20,417.38 | $29,512.09 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $37,153.52 / $54,954.09
| Facility | | $22,908.68 | $37,153.52 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $31,622.78 / $50,118.72
| Facility | | $19,952.62 | $31,622.78 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $22,908.68 / $38,018.94
| Facility | | $14,454.40 | $22,908.68 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $38,904.51 / $53,703.18
| Facility | | $10,964.78 | $38,904.51 | $53,703.18 |